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MEDICAL BILLING ACCOUNTS RECEIVABLE SPECIALIST
Job Summary
Health Insurance Accounts Receivable Specialists are responsible for managing and collecting the outstanding balance owed by the health insurance payors through follow-up calls and submission of appeals via paper claims or electronic means.
Responsibilities
- Manage the assigned A/R either by client group.
- Sort the A/R based on amount, payor category, age, location and provider/client.
- Client report/liaison-report to client the status of the A/R
- Report to the company on the status of the A/R in general and in particular, including length of time spent to get the account paid or resolved
- Phone call follow-up on denied claims
- Electronic resubmission of claims
- Paper claim appeal
- Review and identify denied, unpaid and non-adjudicated claims for processing
- Coordinate with the medical billers the necessary documents to submit proof to resolve denied claims
- Submit to manager accounts for write-off after showing proof of scrubbing process
- Update any patient demographic information
- Regularly notate any action related to A/R follow-up in the designated page of the billing software
- Daily review of payments and missing payments
- Consult any issues that are deemed beyond your control to the manager
- Receive calls deemed to be A/R matters
- Scan correspondence and index to their respective account
- Meet the minimum goals set by management
- Expect to be assigned special projects including audit of new and existing clients that pertains to A/R
Qualifications
- Bachelor’s Degree (or at least 5 years’ experience if College level)
- Minimum of 3 years’ experience in the related field
- Proficient in English language (written and oral)
- Knowledgeable in a popular medical billing software
- Efficient in Microsoft Office utilization
- Must have experience working for an American practice or a medical billing company with American clients
- HIPAA certified or is willing to be certified
- Basic knowledge of operating a PC, VoIP, world wide web, copier, fax and most office equipment
- Must have a working back-up computer and strong internet connection
- Must be willing to work with ActivTrak, a remote management software
- Must have a working knowledge of medical billing and coding and revenue cycle management process as a whole
- Thorough knowledge of the AR process and must be able to demonstrate various approaches to resolve each unique AR challenge
Work Schedule
Monday to Friday 8:00 AM to 5:00 PM PST
Work Location
This is a work from home, full-time position
Part-time position applicants can be accommodated for well qualified candidates
Job Title: Accounts Receivable Specialist
Department: Accounts Receivable
Company: RCM GROUP
Benefits: Negotiable
Available Slots: 4
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